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Diaper Program Registration

We are excited to welcome you to our community of amazing clients and cannot wait to assist you with the clothing and diapers you need!

You can complete your diaper request online by completing the registration form below or by coming into the office on the days listed below. 

 

Below are two links to our registration forms, which provide us with the information we need about you and your baby. Please answer all questions truthfully and completely. This form provides us with vital information to apply for grants so we can continue to provide diapers. Rest assured that your information is protected, and we will never sell your information to anyone.

 

Please note that you can only request clothing once every six months.

After completing your registration form, click SUBMIT.

Next, visit our offices at 117 Park Avenue, Hamilton, OH 45013, on Wednesdays from 4:00-6:30p or Fridays between 11:00a -1:30pm.

 

Let us know that you submitted your application online, and we'll take care of the rest!

You'll be out the door in less than 10 minutes!

PLEASE FOLLOW US ON FACEBOOK FOR UP-TO-DATE NOTICES ON CLOSINGS & DIAPER SIZE AVAILABILITY!!!

https://www.facebook.com/chrysaliscda

Click the Heart for Diaper Registration Form

Click the Heart for Clothing Registration Form

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